Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $53.70 / $100.00	Facility		$18.20	$53.70	$100.00
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $50.12 / $67.61 / $74.13	Facility	CQ	$50.12	$67.61	$74.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $24.55 / $141.25	Professional		$16.98	$24.55	$141.25
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $16.22 / $21.38 / $83.18	Professional	CQ	$16.22	$21.38	$83.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $64.57	Facility		$33.88	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $31.62 / $46.77	Professional		$23.99	$31.62	$46.77
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.02 / $69.18	Professional		$25.70	$38.02	$69.18
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $37.15 / $134.90	Facility		$22.39	$37.15	$134.90
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	CQ	$114.82	$114.82	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.88 / $131.83	Professional		$21.88	$33.88	$131.83
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $44.67 / $85.11	Professional		$36.31	$44.67	$85.11
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $50.12	Professional		$31.62	$31.62	$50.12
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $912.01	Facility		$97.72	$97.72	$912.01
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $60.26	Professional		$28.18	$38.02	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $45.71	Facility		$31.62	$31.62	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $29.51 / $69.18	Professional		$21.38	$29.51	$69.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $43.65	Professional		$37.15	$37.15	$43.65

Iowa rates for HCPCS 97116